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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date Permit Number: A JIM W-3 • Building Permit Application Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential ✓ PERMIT APPLICATION FOR: car G 'b� Address: ?&2 Wj �/��.pp11' G�� "� Legal Description: � tlye O� CDiaks C.11"f� ��•�/>�)�LfT2 /3/t�/(pC/8) Property Tax ID x:, d(r;-zi-fci3-aL,-5 Lot No. � Site Plan Name:c������ .t-�� Block No Project Name: - Ytf'f/I(nJe LYjrj i Setbacks Front Back: Right Side: Left Side: rnCiall like Fat 1 ke gnraoe &or- Io/y 'F& Ad itional work to be performed under tIs permit—check all that appy: _Mechanical _Gas Tank _Gas Piping _Shutters -/Windows/Doors _Electric _Plumbing _Sprinklers _Generator Roof Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$2fLf• j•QD Utilities: _Sewer _Septic Building Height: Name i)%CI�• L'1 Name: 'Oraurlra Ll.ti{P Address: IT�IA ill. Company: mm E rise aF &c FTC;l City: FFA State:Fl Address: i108 7omabaW4 Di Zip Code: Fax: a//4 city: Ir Ai. U.rb. , BCCCI\ State: Fl Phone No. Zip Code: 32937 Fax:_3Z1-777- 4244 E-Mail: A!/A Phone No. 772337-4470 Fill in fee simple Title Holder on next page(if different E-Mail: (,ca 55 4un 4Ha,.'3e^ from the Owner listed above) State or County License: l If value of construction is 2500 or more,a RECORDED Notice of Commencement is required. ON Z's: :' DESIGNER/ENGINEER: ,Not Applicable MORTGAGE COMPANY: _Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: ^Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: City: City: LZip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite before the first inspection.If you intend to obtain financing,consult with lender or an attorney before commencing work or recordin . ou Notice of Commencement. 1 �G s Z�LI zt�k _Signature of Owner/Lessee/Agent Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FL A COUNTY OF� )IaY COUNTY OF r1Lxof The fo Ding instrument wa acknnwVed a efore me The far Ding instru ent was cknowiedged before me this day of�+ 20 LQby this day of 20 J�_by S t Llx}�5 (Nan(e ¢ I ging) ( of S— knourledging) } 1 ' t State of Florida y i n ry Public-State of Florida) Pe on OR Produced Identification a n '� OR Produced Identification Type I Produced a of Identif mon Produced � y�� 6R(X)CEn"ETI Com fission No.�� ld h° al) BRrx510ET1 4655 -Commission No.��4'+(/ JI) MYCOMMISSI,^,ryyFF22. r _ F2414 EXPIRES.Jane 25, 19 -=•�:%�-.•= EXPIRES Jana 25,201 ?p`tyde Banded s Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS L_ T � 4 - U D Lr fi u Z r o �m x �i in n �pom 071 # 0 3 y rn P n S�'y O g4fOe1y �j0 a py®q E gym ,® Ll�l K Kv n m f�tl 0 o m 3 a 2 w N b 'mJ p b� c o, �p o z _ A T D n E �2 Z � C ,w y� H d; 3 G o L7 jmm>m H pr m o e o o N a a o o 0 0 c o 2 o n o a r o a a o o a ae m 4 (�a m a g w m s'�m P Z Z 2 Z Z Z Z Z Z Z 2 2 Z „ OH m m m Owma m �2S ©.m v m m o Q ;L a n